To B or not to B: the application of uterine compression sutures to reduce blood loss after myomectomy

The aim was to assess the hemostatic impact of B-Lynch sutures following an open myomectomy for efficacy. In this prospective clinical research, performed in Alazhar university hospitals (Al-Hussain, Damietta, Assiut) and Minia University Maternity Hospital, 250 women scheduled for open myomectomy b...

Full description

Saved in:

Bibliographic Details
Published in:	Przegla̜d menopauzalny Vol. 23; no. 1; pp. 21 - 24
Main Authors:	Bosilah, Almandouh H, Hussein, Mohamed, Alboghdady, Mahmoud Abdelwahed, Zaky, Ahmed, Almorsy, Ahmed Shafik, Taha, Wael Soliman, El Azeem, Mohammed Farouk Abd, Sholkamy, Amr Mohamed, Khafagy, Wael Abd Elatief, Abdelmoaty, Muhamed Ahmed, Eldahab, Ibrahim Mohamed Abo, Mohamed, Bahaa Eldin Elmohamady, Diab, Yasser Mohamed Said, Mohammed, Ahmed Hashim, Shaaban, Ahmed Samir Hamid, Taha, Elsayed Mohammad, Elboghdady, Adel Aly, Sileem, Sileem Ahmed, Essawy, Hany Gaber, Elshahat, Elmetwally Farouk, Soror, Ghada Ibrahim Elsaid, Mohamed, Hamza Mohamed Abdelmohsen
Format:	Journal Article
Language:	English
Published:	Poland Termedia Publishing House 01-03-2024
Subjects:	b-lynch fibroid open myomectomy Original Paper fibroid B-Lynch open myomectomy
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The aim was to assess the hemostatic impact of B-Lynch sutures following an open myomectomy for efficacy. In this prospective clinical research, performed in Alazhar university hospitals (Al-Hussain, Damietta, Assiut) and Minia University Maternity Hospital, 250 women scheduled for open myomectomy between January 2021 and January 2023 had multiple fibroid uteri with uterine sizes corresponding to 12-22 weeks. There were two groups of women. Group I (125) underwent standard open myomectomy surgery, whereas Group II (125) underwent normal open laparotomy surgery followed by B-Lynch sutures. Certain inclusion and exclusion criteria were applied to every patient. We recorded vital data, length of the procedure, complications (bleeding during the procedure, bleeding from multiple bites, bladder injury, fever, wound infection), complete blood count before and after surgery, need for blood transfusion, postoperative vital data, time until ambulation, passing flatus, and ability to eat and drink, as well as the amount of blood lost during and after the procedure. There was no statistically significant difference between the two groups in age, parity, weight, number of fibroids, or uterine size as measured by ultrasonography. Between groups I and II, there was a significant difference in the average intraoperative blood loss (Group I lost 562.6 ml, whereas Group II lost 411.3 ml) as well as the mean blood loss following surgery (205 ±82 ml in Group I and 117 ±41 ml in Group II). No significant difference was observed in the mean length of hospital stay between groups I and II (2 ±0.3 days and 2 ±0.6 days, respectively). Using a B-Lynch suture can help minimize blood loss during and after an open myomectomy. Therefore, if the uterus is large and has a lot of fibroids, it is recommended to be done frequently.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1643-8876 2299-0038
DOI:	10.5114/pm.2024.136954